Not long ago, Mr. Zhang, who is nearly 80 years old, suddenly had a condition that he could not turn his body to one side when he was sleeping. As soon as his body was tilted to one side, he immediately experienced a few seconds of spinning, accompanied by nausea and vomiting, but was conscious, and when the sleeping position returned to the center, the dizziness would disappear immediately again. Mr. Zhang’s family was very nervous and worried about a brain infarction or brain hemorrhage, and was sent to the hospital via ambulance to the neurology department for emergency treatment, and no problems were found in the doctor’s examination as well as the emergency head CT examination. And after arriving at the hospital, the old man didn’t use any medicine and the vertigo symptoms disappeared on their own. But since then, the old man often had the symptoms of vertigo after turning over, and had also fallen in the bathroom and had many attacks at night. During the attack, Mr. Zhang went to several hospitals and checked his head, cervical spine, heart, etc., but no problem was found. Later, after several changes, he found a doctor who specializes in vertigo. After the examination, the doctor confirmed that Mr. Zhang’s disease was “otolithosis”. In the outpatient clinic, the doctor asked the old man to lie on the treatment bed and turn his head and body a few times, and he was cured in just ten minutes. Mr. Zhang and his family were very confused, how could there be a stone in his ear? Why would a stone falling out of the ear cause dizziness? Clinical findings show that the incidence of vertigo is about 8%, and the incidence is gradually increasing with the aging of the population. However, it is not easy to diagnose and identify vertigo because there are relatively few objective signs during vertigo attacks, and there are more than 80 diseases that have been proven to cause vertigo. Among the many diseases that can cause vertigo, “otoliths” are more common and have a high rate of misdiagnosis. The ear is also an organ of balance. Most people know that the ear is an organ of hearing and that damage to it can lead to deafness, but the ear is also an organ of balance. Humans are able to move normally because there are structures in the bilateral ears that regulate body balance, and one of the important structures is the balloon and ellipsoid sacs. Because there are calcium carbonate salt crystals that feel changes in the center of gravity within the structure of the balloon and ellipsoidal sacs, which are shaped like stones, they are called otoliths, and the balloon and ellipsoidal sacs are called otoliths, which is the origin of the stones in everyone’s ears. Otoliths are also known as benign paroxysmal, positional vertigo, which is a transient, paroxysmal vertigo with horizontal or rotational nystagmus that is excited when the head position moves rapidly to a specific position. By benign, it means treatable and self-healing; by paroxysmal, positional, it means that the episodes of dizziness are brief and associated with head and neck rotation. The onset of dizziness in most patients is manifested by turning over in a certain direction in bed when resting or waking up, causing spinning, accompanied by nausea and vomiting, and having to maintain a forced sleeping position; some patients have episodes when getting up or falling backwards into bed, and normal when walking. The episodes of dizziness are brief, lasting a few seconds or tens of seconds, and rarely exceed one minute. Otoliths are more common in middle-aged and elderly people. Many doctors who do not specialize in vertigo are unfamiliar with otoliths or have not even heard of them, which leads patients to go to many hospitals and departments, undergo many tests and use many drugs but never get effective diagnosis and treatment. The disease is more prevalent in middle-aged and elderly people, but it can also occur in young people and is less common in children. However, because most people do not know enough about it, it is often misdiagnosed as cervical spondylosis, Meniere’s disease, and cerebral insufficiency of blood supply. In fact, otolaryngitis is characterized by changes in head position associated with a fixed direction for a short period of time, less than one minute, and an experienced physician can detect specific oculomotor changes through examination. If there is dizziness in raising the head and dizziness in lowering the head, dizziness in turning left and dizziness in turning right, it is rarely otolithosis. Some patients with cervical spondylosis present with vertigo very similar to otoliths, and imaging of the cervical spine can help rule it out. Meniere’s disease is accompanied by deafness, tinnitus and stuffy ears in addition to vertigo, while otoliths in general are only vertigo without deafness, tinnitus or stuffy ears. In addition to vertigo, cerebral blood supply deficiency (circulatory disorder) also has diplopia and ataxia manifestations. Because cerebrovascular disease is acute and severe, it may be life-threatening, and many patients have atypical symptoms at the onset, so it is very easy to be misdiagnosed. In addition, some brain tumor patients have the same symptoms as otoliths in early stages, which should be highly alerted. Improper treatment can aggravate the condition. Otolithiasis itself is not life-threatening, but other diseases, especially cerebrovascular diseases, can be misdiagnosed as otolithiasis and the condition can be delayed, and the patient may miss the chance to be rescued. The cause of otoliths is still being explored, and it is thought to be related to the loss of otoliths in the otolith apparatus. The otoliths in the otoliths are dislodged from their original position due to trauma to the head or local structural degeneration in old age, and are displaced to other balanced structures, causing vertigo when the head position changes. It is like a ball maze in the hands of a child, in which the balls move in a disorderly manner, causing a balance disorder. The doctor treats the disease by turning the balls that are rolling in the labyrinth tract back to their original position and restoring balance through manipulation. Therefore, the experience of the doctor is crucial in the treatment of otoliths. The otolith is dislodged in different locations and needs to be reset using different techniques. An experienced doctor can make the correct judgment through examination and choose the correct technique to treat the otolith, making the treatment easy and effective. For doctors without formal training, the wrong method and rough operation may lead to ectopic otoliths, which may show that the patient can turn over in his sleep after the reset, but appear unstable walking, feeling floating and vertigo aggravated, and for patients with cervical spondylosis, it may not only cause incontinence but also paralysis.